Which of these anti-epileptic drugs is the long term drug of choice for treating patients diagnosed with convulsive status epilepticus?
A.
... [Show More] fosphenytoin
B. phenytoin
C. phenobarbital
D. diazepam - correct answerb
your patient has just died of complications stemming from AIDS. Given national statistics what is the most likely age for your patient?
a. 10
b. 47.
c. 18
d. 32 - correct answerd
you are examining the urinalysis results for a patient with a suspected case of acute renal failure. The results show few hyaline cases, a blood urea nitrogen to creatinine ratio of 22:1, and a fractional excretion of sodium of 0.7%. Given these findings, which of these conditions is the most likely cause of the patient's acute renal failure
a. thromob0sis
b. neurogenic bladder
c. sepsis
d. drug hypersensitivity - correct answerc
Cross sectional research is an example of what type of research?
a. qualitative
b. non-experimental
c. non-qualitative
d. experimental - correct answerb
a 47 year old male is showing signs of acidosis and hyperthermia. The patient's affinity of hemoglobin and oxygen is most likely to:
a. increase, shifting the dissociation curve to the right
b. decrease, shifting the dissociation curve to the right
c. increase, shifting the dissociation curve to the left
d. decrease, shifting the dissociation curve to the left - correct answerb
right = decreased affinity (acidosis, hyperthermia)
left = increased affinity (alkalosis, hypothermia)
an elderly female comes in to your office with hx HTN. Although she has no known history of renal disorder, the nurse finds doubled creatinine levels and 50% nephron loss. What stage of failure is this?
a. end stage renal disease
b. post renal disease
c. diminished renal reserve
d. renal insufficiency - correct answerc.
ESRD: 90%
Insufficiency: 75%
your 24 year old post trauma patient has been in the STICU for 3 days. today his labs include calcium of 2.6 and a serum osmo of 282. Additionally you note broad T waves with a prominent U wave. Based on your suspicion, which of the following would be most appropriate to order?
a. loop diuretic with 3% normal saline
b. acetazolomide
c. calcium gluconate
d. potassium replacement - correct answerd
auscultating the chest of a patient, the nurse practitioner notes a murmur that is cleaRly audible. The sound is accompanied by a vibration. Which grade?
a. v/vi
b. ii/vi
c. iii/vi
d. iv/vi - correct answerd
34 year old female presents to the emergency department early this morning with severe flank pain, nausea. She had difficulty urinating first. CT scan shows 2.5 mm in upper ureter. Which course of action is most appropriate?
a. perform lithotripsy
b. diuretics
c. prescribe pain meds and dx
d. strain urine - correct answerd
which of the follow components of an evidenced based research process is the most important for the NP to participate in?
a. formulating the research problem
b. specifying methods of data collection
c. formulated with hypothesis
d. carefully reviewing the lit - correct answera
which of the following is NOT an expected finding of cushings syndrome?
a. hyperglycemia
b. hyperkalemia
c. hyernatremia
d. leukocytosis - correct answerb
which of these is an example of secondary prevent?
a. BMI measurement
b. immunization
c. education regarding proper exercise
d. cardiac rehab - correct answera
primary is prevention
secondary is early detection
tertiary rehab
which of the following is NOT a risk or potentially harmful interaction associated wiht the use of ginko baloba?
a. visual disturbances or bradycardia
b. adverse interaction with acetylsalicylic acid and warfarin
c. increased risk of bleeding
d. increased BP - correct answera
which of the following herbal agents is most frequently used to improve symptoms of an enlarged prostate?
a. ginko baloba
b. evening primrose
c. st. johns wart
d. echinacea - correct answerc
for the past few months, 29 year old janine has been gaining wt while experiencing amenorrhea and increasingly severe acne. She has also gained more than 20 lbs, you note that she is carrying her weight around the midline, with bilateral striae across both flanks. you suspect cushings disease. which of the following findings would NOT contribute to a diagnosis of cushings syndrome
a. wbc: 19k
b. urine free cortisol > 360
c. after a high dose dexamethasone there is 90% reduction in urinary free cortisol
d. glycosuria - correct answerc.
in the dex test, cushings folks have no change
a patient who has a history of bleeding ulcers comes to the ED with abdominal pain and nausea. his VS are: 98.4, 88 bpm, 110/62. If his symptoms are due to a bleeding ulcer, the NP would most expect to see which of the following findings in the patient initially?
a. frank red bleeding per rectum
b. "board-like" rigid abdomen
c. coffee-ground emesis
d. melana - correct answerc
51 year old male is admitted to the ED with severe dyspnea. Hx emphysema. orders O2 2/2 o2 sat dropping from 96->90. However she advises the nurse to monitor because:
a. the patient lost is hypoxemic respiratory drive
b. the patient has low lung compliance
c. the patient has increased hypercapnia sensitivity
d. the patient lost his hypercapnic ventilator drive - correct answerd
the patient's serology is as follows:
HBsAg, HBeAg, Anti-HBc, and IgM
a. chronic hep b
b. chronic hep a
c. acute hep b
d. acute hep a - correct answerc
65 year old female who arrives to your clinic lethargic and fatigued. These symptoms have persisted for several months, and she has recently begun "going bald." She is bradycardic but her BP is normal. Janet also has dry, coarse skin. Her presentation suggest which of the following Dx and tests to confirm?
a. hypothyroid, T4
b. hyperthyroid, TSH
c. hyperthyroid, t4
d. hypothyroid, TSH - correct answerd
screenings for prostate cancer and cholesterol are an example of what type of prevention? - correct answersecondary
the NY heart associations function classification of heart failure identifies 4 classes. Which classification first presents with symptoms while at rest. - correct answerclass IV
national certifying organizations that administer nurse practitioner exams take the utmost care to ensure that the exams reflect the true practice of being an NP. In this case, you understand that the degree of consistency with which the national exam measures those constructs applicable to one's scope of practice year after year is: - correct answerreliability
the NP correctly identifies the expected hemodynamic profile of a patient in obstructive shock as being most closely represented by which of the following? - correct answerCO low
CVP high
PCWP normal/low
SVR high
SV02 high [Show Less]